Curricular Praccal Training (CPT) for F-1 Students Revised 01/18 Office use: ________units for________. Restricons: ________. RCL: ________. Today's Date: Family/Last Name: First Name: USC ID Number: SEVIS Number: N00 First Semester at USC: Date of Birth: Telephone Number: Degree Objecve: Bach Master PhD Other: _____________ Field of Study: Current Status: F-1 J-1 Other: _____________ Expected Graduaon: Email Address: Local U.S. Address: Applicaon Checklist: The following acons must be completed before turning in CPT applicaon Complete applicaon form (all items must be filled in) Academic Advisor’s signature on Advisor Form (see reverse) Register for internship course Submit Reduced Course Load (RCL) form if enrolled in less than: Doctoral 6 units; Master’s 8 units; Undergraduate 12 units RCL not required for summer semester Keep ALL original copies of CPT I-20s for future USCIS applicaons such as OPT, H-1B and Permanent Residency I need a leer for my Social Security Number (SSN) applicaon—only for students who do not have a SSN Employment Informaon: All numbers and leers must be legible or applicaon will not be processed Company name: _____________________________________________________________________________ Company address: _____________________________________________________________________________ street city state zip code Beginning date: ___________ Ending date: ___________ Numbers of hours per week: ___________ List ALL periods of previously authorized CPT– use separate sheet of paper if necessary and include if CPT was part-me or full-me. From:_________________ To:_________________ Part-me Full-me From:_________________ To:_________________ Part-me Full-me Will you have an RA/TA/on-campus job during the semester you are applying for CPT? Yes No If yes, how many hours per week will you work on campus? hours Office of Internaonal Services USC